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Contact Information

ANGELA M BANZ, PA
4403 HARRISON BLVD STE 4650
OGDEN, UT84403-3294
 Phone: 801-475-3240
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ANGELA M BANZ · (Female)

NPI # 1285151662
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/25/2017
Last updated 02/16/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • UT License # 10455364-1206
  • UT Medicaid 1285151662
Hospital affiliation(s)
  • MCKAY DEE HOSPITAL CENTER - (Acute Care)
    4401 HARRISON BOULEVARD
    OGDEN, UT 84403
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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